Low PSA and Testosterone at 60.

[ucladany]

Testosterone at 60 and PSA at 0.019. Shouldn't T be lower? What am I missing?

[Magnus1964]

Are you on any ADT drugs, i.e. casodex, Zytiga, Xtandi, etc.?

[Tall_Allen]

Ideally, it should be under 20:

redjournal.org/article/S036...

Work with your oncologist to find a GnRH agonist/antagonist that is more effective.

[ucladany]

I am taking Zytiga/1000 mg a day, Prednisone/10 mg a day and a Lupron injection every three months. Testosterone hit a nadir of 10 and has risen to 60 over a year. Getting nervous about the Testosterone. Thank you for any information that you can give me.

[Break60 in reply to ucladany]

Trelstar reduced my T to <3.0

[Shooter1]

Great PSA. With DR's telling me I would always be on ADT drugs acct. needing ADT2 drugs before even getting half way through Chemo. and no real targets for radiation (full spiderweb of Gleason 9/10 even in otherwise clear tissue) I opted for Orchiectomy. Drastic, I know , but then T dropped to undetectable and PSA quit rising. At 67 my two jelly beans in a bag and prostatectomy leaving me no nerves to control responses, what did I have to loose. Now undetectable T and PSA with low dose Xtandi down to 0.120 range. No ADT injections and all soft tissue mets undetectable. Bone mets showing as scar tissue. Looking pretty good. Way better than the after surgery prognosis of 12 to max of 18mo. acct fast growing, invasive ,aggressive and incurable, it's going to kill you Pca. Your decision , but get down some how.

[monte1111 in reply to Shooter1]

You know, I was going to make a two jelly beans in a bag joke but you really really got me thinking instead. Should some of us, many of us, or all of us be getting orchiectomies instead of lupron and etc. shots? My two jelly beans in a bag are pretty useless, ok, totally useless. Is it the medical establishment making the huge profit of the continuing shots vs. one snip and tuck? I mean two snip and tucks. I'm sure this has been debated here before. Maybe time to revisit this issue. On account of because there is more collected wisdom here than most single doctor's will ever have.

[j-o-h-n in reply to monte1111]

I refer to mine as immies....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 12/18/2018 10:43 PM EST

[Magnus1964]

You may have to quit Zytiga and go on casodex or xtandi if you have not taken either of these ADT drugs before.

[petercraig2]

I am using Estrogen patches with Metformin for about 18 months now. PSA declined from 12 to now .016 and T has been undetectable for most of the time.

Seems to be effective with no side effects apart from little man boobs and no action downstairs but life is OK.

Peter